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General NPI Number Information
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NPI Number | 1366936726
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Entity Type | Individual
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Provider Name | JOSHUA THOMAS SAJAN MATHEWS DO
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Gender | Male
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 100 HOSPITAL LN STE 120
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City | DANVILLE
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State | IN
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Zip | 46122-1993
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Country | US
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Telephone | 317-745-4451
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Fax |
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Provider Business Mailing Address
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Address Line | 2232 GAMBEL LN
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City | DANVILLE
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State | IN
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Zip | 46122-8070
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Country | US
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Telephone | 630-605-4551
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 02007952A
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License Number State | IN
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